Education & Children's Services
Executive Director John Fyffe
Pullar House
35 Kinnoull St
PERTH
PH1 5GD
Tel: (01738) 477864
Contact:James Black, ECS
Business Assistant
E-mail: [email protected]
Date: 10th July 2015
Dear Parent/Carer
ACTIVE SCHOOLS & PERTH PHOENIX SUMMER BASKETBALL CAMP
Monday 27th – Wednesday 29th July 2015 Perth Grammar School
Active Schools in partnership with Perth Phoenix Basketball Club are offering pupils in P6 – S3 the
opportunity to attend a Basketball Summer Camp. It will be a fun filled 3 days where players will learn the
basic skills and tactics needed to play basketball. Even if your child has never played Basketball before
then this is a great opportunity for them to come and give it a try. Qualified coaches will be delivering the
sessions throughout the 3 days.
The Camp will take place at Perth Grammar School Games Hall from 27th - 29th of July, 10am – 3pm.
Please enter through the entrance at Bute Drive, next to the Community Wing. Pupils will get a 45minute
break at 12.30pm where they will be supervised and are not allowed to leave the School. Please make
sure that your child has a packed lunch with them and plenty of water.
The Cost of the camp is only £20.
If your child wants to take part then please fill in the application form and send with the payment to:

James Black, ECS Business Assistant, Perth and Kinross Council, Pullar House,35 Kinnoull St,
PERTH, PH1 5GD. Fax: 01738 477838
Kind Regards
Karen Todd
Active Schools Coordinator
CLOSING DATE FOR RETURNS: Friday 3rd July
PARENTAL CONSENT FORM
ACTIVE SCHOOLS & PERTH PHOENIX SUMMER BASKETBALL CAMP
Name of Child:
Date of Birth
Current Class/Year
(please circle)
School:
Gender:
Male / Female
P6/ P7 / S1 / S2 / S3
Address:
Postcode:
Telephone:
Mobile:
Current email address, ESSENTIAL: to be used for further
correspondence. Please give an alternative means of contact if
you do not have access to email.
Emergency Contact Name:
Relationship:
Telephone number:
Name of family Doctor:
Medical Practice
Telephone:
MEDICAL INFORMATION: delete as applicable.
Has your child had a tetanus injection in the last 5 years?
Is your child taking any medication at present?
Yes / No / Don’t Know
Yes / No
If yes please give details:
Is the medication self-administered?
Does your child suffer from any allergies?
Yes / No
Yes / No
If yes please give details:
Does your child have a disability or additional support needs?
Yes / No
If yes please give details:
I have understood the information detailed in the letter and therefore give my son/daughter permission
to participate in the Basketball Summer Camp
 I have outlined all medical conditions/injuries and medications my child has. It is my responsibility to inform the
organiser/coach if there has been a change in medical history /recent injury
 I give permission for my child to receive emergency medical or dental treatment, including the administration of
anaesthetic during the camp
 I give permission for my child to be filmed/photographed for media, websites, DVD, social media and publicity
(local and national)
 I acknowledge the need for my child to behave responsibly and understand that staff/volunteers have the right
to remove my child from the activity if their behaviour is dangerous to themselves and others.
Please delete as appropriate
I will collect my child / my child will make their own way home unaccompanied from the Grammar Mon - Wed
Signed:
Print Name:
Date:
Relationship to Child:
PAYMENT: please tick box
I have enclosed a cheque for £20 for the summer basketball camp
Please make cheques payable to ‘Perth and Kinross Council’